| NPI | 1578015467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAN M PATEL Member 609-373-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI02544800) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |